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Energy Balance Weight Regulation Study (BALANCE)

This study has been completed.

Sponsored by: National Center for Complementary and Alternative Medicine (NCCAM)
Information provided by: National Center for Complementary and Alternative Medicine (NCCAM)
ClinicalTrials.gov Identifier: NCT00619008
  Purpose

The purpose of this study is to test the hypothesis that a low-carbohydrate diet will impact hormones and other factors that regulate appetite and energy balance, and result in lower energy intake and greater weight loss, than a high complex carbohydrate diet.


Condition Intervention Phase
Obesity
Other: Ad libitum low carbohydrate diet
Other: Ad libitum High Complex Carbohydrate Diet
Other: Energy-restricted high complex carbohydrate diet
Phase II

MedlinePlus related topics:   Obesity    Weight Control   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Basic Science, Randomized, Single Blind (Outcomes Assessor), Parallel Assignment, Bio-equivalence Study
Official Title:   Energy and Appetite Regulation by High and Low CHO Diets

Further study details as provided by National Center for Complementary and Alternative Medicine (NCCAM):

Primary Outcome Measures:
  • 24-hour profiles and AUCs of hormones and other factors that influence central appetite and weight regulation (insulin, leptin, ghrelin, PYY, GLP-1). [ Time Frame: Week 2, week 3 and week 9 of intervention ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Energy intake, hunger and satiety ratings [ Time Frame: week 2, 3, and 9 of intervention ] [ Designated as safety issue: No ]

Enrollment:   35
Study Start Date:   April 2005
Study Completion Date:   September 2008
Primary Completion Date:   September 2008 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental
Ad libitum low carbohydrate diet
Other: Ad libitum low carbohydrate diet
6 week ad libitum low carbohydrate diet
2: Experimental
Ad libitum high complex carbohydrate diet
Other: Ad libitum High Complex Carbohydrate Diet
6 week ad libitum high complex carbohydrate diet
3: Experimental
Energy-restricted high complex carbohydrate diet
Other: Energy-restricted high complex carbohydrate diet
6 week energy-restricted (68% of estimated energy requirement for weight maintenance) high complex carbohydrate diet.

Detailed Description:

The rising epidemic of obesity in the United States is accompanied by widespread public use of low carbohydrate diets for weight loss. The popularity of these diets is due partly to the promise of a "metabolic advantage" that promotes faster weight loss without an overriding sense of hunger. If this claim is true, we hypothesize that a low-carbohydrate diet will impact hormones and other factors that regulate appetite and energy balance, and result in lower energy intake and greater weight loss, than a high complex carbohydrate diet. To test this hypothesis, we will conduct a randomized, controlled feeding trial in which obese adults will be randomly assigned to one of three interventions: a low-carbohydrate-ad libitum diet, a high-carbohydrate-ad libitum diet, or a high-carbohydrate-energy-restricted diet. The low-carbohydrate diet will be modeled after the Induction Phase of the Atkins Diet. The high carbohydrate diet will be based on the "Dietary Approaches to Stop Hypertension (DASH)" diet. Participants will eat a standardized weight maintenance diet for 3 weeks. Then, for 6-weeks, participants assigned to either ad libitum group will be given their assigned diet at 120% of there estimated energy needs to maintain weight and allowed to eat as much as desired. Participants assigned to the energy-restricted group will be provided a DASH diet at 67% of their estimated energy needs to maintain weight and asked to eat all foods provided. Food intake will be measured daily. Body weight and hunger and satiety scores will be measured three times a week. Body composition and energy expenditure will be measured before and after the intervention. 24-hour profiles of hormones and other factors that influence central appetite and weight regulation (insulin, leptin, ghrelin, PYY, GLP-1) will be measured before, and on first and last days of the intervention, to compare acute and chronic metabolic effects of the diets. The analysis of primary outcomes will be based on repeated measures and longitudinal models methodology. This study offers a unique opportunity to explore how extreme differences in dietary composition, before and after weight loss, affect components of energy balance and markers of central appetite and weight regulation. These results will be used to design hypothesis-driven studies of the identified mediators of appetite and weight regulation in response to dietary manipulation.

  Eligibility
Ages Eligible for Study:   21 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Criteria

Inclusion Criteria:

  • BMI 30-50 kg/m2
  • Age 21-65 years
  • Relative good health

Exclusion Criteria:

  • Major debilitating mental of physical illness that would interfere with participation
  • Renal or hepatic disease, diabetes, gallbladder disease, untreated hyper-or hypothyroidism, poorly controlled hypertension (>3 HT medications)
  • Use of lipid lowering medications
  • Current of recent (within 12 mo) pregnancy or lactation
  • Current excessive use of alcohol
  • Current/recent (within 1 year)use of tobacco products
  • Food allergies, food restrictions, or food preferences that are inconsistent with the research diets
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00619008

Locations
United States, Oregon
Oregon Health & Science University    
      Portland, Oregon, United States, 97229

Sponsors and Collaborators

Investigators
Principal Investigator:     Diane D Stadler, PhD     OSHU    
  More Information


Responsible Party:   Oregon Health & Science University ( Diane D. Stadler )
Study ID Numbers:   R21 AT002753
First Received:   February 15, 2008
Last Updated:   October 2, 2008
ClinicalTrials.gov Identifier:   NCT00619008
Health Authority:   United States: Institutional Review Board;   United States: Federal Government

Keywords provided by National Center for Complementary and Alternative Medicine (NCCAM):
obesity  
low carbohydrate diet  
high complex carbohydrate diet  
weight regulation hormones  
hunger  
satiety
energy expenditure
body composition
weight loss

Study placed in the following topic categories:
Body Weight
Signs and Symptoms
Obesity
Weight Loss
Nutrition Disorders
Overweight
Overnutrition

ClinicalTrials.gov processed this record on October 17, 2008




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